• 제목/요약/키워드: Health risks

검색결과 1,270건 처리시간 0.034초

Leptomeningeal Metastasis in Gliomas : Clinical Characteristics and Risk Factors

  • Jeyul Yang;Ji-Woong Kwon;Sang Hoon Shin;Heon Yoo;Kyu-Chang Wang;Sang Heyon Lee;Ho-Shin Gwak
    • Journal of Korean Neurosurgical Society
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    • 제66권4호
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    • pp.465-475
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    • 2023
  • Objective : Our objective is to analyze the occurrence, clinical course and risk factors for glioma patients with leptomeningeal metastasis (LM) according to different metastasis patterns and clinical variables. Methods : We retrospectively reviewed data from 376 World Health Organization (WHO) grade II-IV adult glioma patients who were treated in the National Cancer Center from 2001 to 2020. Patients who underwent surgery at other institutions, those without initial images or those with pathologically unconfirmed cases were excluded. LM was diagnosed based on magnetic resonance imaging (MRI) findings or cerebrospinal fluid (CSF) cytology. The metastasis pattern was categorized as nodular or linear according to the enhancement pattern. Tumor proximity to the CSF space was classified as involved or separated, whereas location of the tumor was dichotomized as midline, for tumors residing in the thalamus, basal ganglia and brainstem, or lateral, for tumors residing in the cerebral and cerebellar hemispheres. Results : A total of 138 patients were enrolled in the study. A total of 44 patients (38%) were diagnosed with LM during a median follow-up of 9 months (range, 0-60). Among the clinical variables, tumor proximity to CSF space, the location of the tumor and the WHO grade were significant factors for LM development in univariate analysis. In multivariate analysis, the midline location of the tumor and WHO grade IV gliomas were the most significant factor for LM development. The hazard ratio was 2.624 for midline located gliomas (95% confidence interval [CI], 1.384-4.974; p=0.003) and 3.008 for WHO grade IV gliomas (95% CI, 1.379-6.561; p=0.006). Conclusion : Midline location and histological grading are an important factor for LM in glioma patients. The proximity to the CSF circulation pathway is also an important factor for WHO grade IV glioma LM. Patients carrying high risks should be followed up more thoroughly.

카본블랙을 혼입한 시멘트 경화체의 특성 (Properties of Cement Matrix using Carbon Black)

  • 이전호;이창우;이상수
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2021년도 봄 학술논문 발표대회
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    • pp.217-218
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    • 2021
  • With the prolonged Covid-19 epidemic, movement restrictions such as social distancing are prolonged, and as people stay indoors for a longer time, interest in indoor air pollution is increasing. Indoor air quality is not easily purified unlike outdoors. Among indoor building materials, paints and flooring contain formaldehyde that causes sick house syndrome and VOCs that contain carcinogenicity and harmfulness. For modern people who spend a lot of time living indoors for more than an hour, the occurrence of these harmful substances can be said to be fatal. In response to these risks, in July 2019, the government reinforced the standards for indoor air quality to protect the public's health by raising the detection standards for fine dust, ultrafine dust, and formaldehyde in indoor multi-use facilities. People use machines such as air purifiers to improve indoor air quality, or make efforts such as periodic ventilation. In order to reduce or support these other ancillary efforts more effectively, to reduce the generation of pollutants in the building itself, or to adsorb or purify pollutants in the air, use carbon black as an admixture to make a cement hardened body, and to grasp basic physical properties and adsorption capacity. And the result is as follows. As a result of the experiment to determine the appropriate amount of carbon black, it was confirmed that the more the amount of carbon black was added, the better it was in the formaldehyde emission test, but the tendency was not clear when measuring the flexural strength, so a further experiment to improve this is needed.

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Persistence and Degradation Pattern of Acequinocyl and Its Metabolite, Hydroxyl-Acequinocyl and Fenpyroximate in Butterburs (Petasites japonicus Max.)

  • Leesun Kim;Geun-Hyoung Choi;Hyun Ho Noh;Hee-Dong Lee;Hak-won Lee;Kee Sung Kyung;Jin-Ho Ro
    • 한국환경농학회지
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    • 제42권2호
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    • pp.93-103
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    • 2023
  • Persistence and degradation patterns of acequinocyl and its metabolite, hydroxyl-acequinocyl (acequinocyl-OH) and fenpyroximate in butterburs (Petasites japonicus Max.) were investigated after pesticide application. Butterburs, one of the minor crops in South Korea, was planted in two plots (plot A for double and plot B for single application) in a greenhouse. Butterburs samples were also planted in a separate plot without pesticide treatment, as the control. A commercial pesticide containing acequinocyl and fenpyroximate was applied to the foliage of butterburs at hourly intervals after dilution. Recoveries of acequinocyl and acequinocyl-OH were 78.6-84.7% and 83.7-95.5%, respectively; the relative standard deviation of the two compounds were less than 5%. The method limit of quantification was 0.01 mg/kg. The total (Ʃ) acequinocyl residues in butterburs reduced by 96.0% at 14 days and 75.9% at 7 days, in plot A and B, respectively, after final pesticide applications. The biological half-life (DT50) of Ʃ acequinocyl and fenpyroximate, calculated using the dissipation rate, was 3.0 days and 4.0 days, respectively. These data were used to set up maximum residue and safe standard levels when the pesticides are applied to control pests during butterbur cultivation. Risk assessment results showed that the maximum % acceptable daily intake was 7.74% for Ʃ acequinocyl and 0.16% for Ʃ fenpyroximate. The theoretical maximum daily intake of Ʃ acequinocyl and fenpyroximate was 26.3% and 35.8%, respectively. In conclusion, the concentrations of Ʃ acequinocyl and fenpyroximate in butterburs pose no significant health risks to Koreans.

한국 성인의 식사 빈도에 따른 심혈관대사질환 위험도와 식사 질의 매개효과 : 국민건강영양조사 제7기 자료 (Mediating Effects of Diet Quality between Meal Frequency and Cardiometabolic Risk among Korean Adults: Data from the 7th Korea National Health and Nutrition Examination Survey (KNHNES))

  • 조유미;이경숙
    • 중환자간호학회지
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    • 제16권2호
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    • pp.67-80
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    • 2023
  • Purpose : The 2020 Dietary Guidelines Advisory Committee specifically noted that meal frequency is associated with risks for cardiovascular disease, type 2 diabetes, and all-cause mortality, although the current evidence on meal frequency is conflicting. As meal frequency itself is affected by various factors, the aim of the study was not only to examine its relationships with cardiometabolic risk but also to identify the mediating effects of dietary quality. Methods : This study used a descriptive correlational design. In all 8,141 healthy adults participated in the study. Measurements included meal frequency, cardiometabolic risk, and diet quality. Data were analyzed using descriptive statistics, Pearson's correlation coefficient analysis, and process macro bootstrapping model 4. Results : The meal frequency was 3.52±0.61 times per day, the risk of cardiovascular metabolic diseases was 0.01±0.61 points, and the diet quality was 62.08±13.87 points. In mediation analysis, the effect of meal frequency on cardiometabolic risk score was completely mediated by diet quality. Conclusion : Improved diet quality in healthy adults should be considered when designing meal frequency interventions aimed at reducing their cardiometabolic risk, as the effect of meal frequency support on cardiometabolic risk was found to be mediated by diet quality.

Correlation Extraction from KOSHA to enable the Development of Computer Vision based Risks Recognition System

  • Khan, Numan;Kim, Youjin;Lee, Doyeop;Tran, Si Van-Tien;Park, Chansik
    • 국제학술발표논문집
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    • The 8th International Conference on Construction Engineering and Project Management
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    • pp.87-95
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    • 2020
  • Generally, occupational safety and particularly construction safety is an intricate phenomenon. Industry professionals have devoted vital attention to enforcing Occupational Safety and Health (OHS) from the last three decades to enhance safety management in construction. Despite the efforts of the safety professionals and government agencies, current safety management still relies on manual inspections which are infrequent, time-consuming and prone to error. Extensive research has been carried out to deal with high fatality rates confronting by the construction industry. Sensor systems, visualization-based technologies, and tracking techniques have been deployed by researchers in the last decade. Recently in the construction industry, computer vision has attracted significant attention worldwide. However, the literature revealed the narrow scope of the computer vision technology for safety management, hence, broad scope research for safety monitoring is desired to attain a complete automatic job site monitoring. With this regard, the development of a broader scope computer vision-based risk recognition system for correlation detection between the construction entities is inevitable. For this purpose, a detailed analysis has been conducted and related rules which depict the correlations (positive and negative) between the construction entities were extracted. Deep learning supported Mask R-CNN algorithm is applied to train the model. As proof of concept, a prototype is developed based on real scenarios. The proposed approach is expected to enhance the effectiveness of safety inspection and reduce the encountered burden on safety managers. It is anticipated that this approach may enable a reduction in injuries and fatalities by implementing the exact relevant safety rules and will contribute to enhance the overall safety management and monitoring performance.

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일회성 등속성 운동이 심장 자율신경 조절 및 근속성에 미치는 영향 (Effect of Transient Isokinetic Exercise on Cardiac Autonomic Nervous Modulation and Muscle Properties)

  • 박수경;박시은
    • 대한통합의학회지
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    • 제11권4호
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    • pp.27-39
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    • 2023
  • Purpose : The aim of this study was to identify the influence of transient isokinetic exercise on cardiac autonomic modulation and muscle properties in healthy male subjects. Methods : Twenty-eight healthy males underwent isokinetic exercise of both knee joints using a Biodex systems 3 isokinetic dynamometer with an angular velocity of 60 °/sec. The changes in activity of the autonomic nervous system, as determined by heart rate variability (HRV), and in muscle properties were evaluated at three times: pre-exercise, immediately post-exercise, and 10 min post-exercise. Results : The time domain analysis of HRV revealed significant changes in the beat count and mean and minimal heart rate (HR) measured at pre-exercise, immediately post-exercise, and 10 min post-exercise (p<.001). The beat count and mean HR were markedly increased immediately post-exercise compared to pre-exercise, but then significantly decreased at 10 min post-exercise (p<.001). All parameters of the frequency domain were significantly altered by isokinetic exercise (p<.01). The low frequency/high frequency (LF/HF) ratio, as an index for the sympathovagal balance, was elevated by exercise and remained at a similarly high level at 10 min post-exercise (p<.01). The muscle properties of rectus femoris were changed as follows: Muscle tone and stiffness were significantly increased between pre-exercise and immediately post-exercise (p<.001), and between pre-exercise and at 10 min post-exercise (p<.001). Whereas, the elasticity showed no significant change. Conclusion : These results demonstrated that transient isokinetic exercise could induce changes in cardiac autonomic control and muscle properties. In particular, up-regulation of LF/HF ratio after exercise signifies thus enhanced sympathetic modulation by isokinetic exercise. Therefore, it is needed to understand the cardiovascular risks that may arise during isokinetic exercise for providing the basic evidence to establish appropriate isokinetic exercise protocols as effective rehabilitation exercises.

경향성 변화에 대응하는 딥러닝 기반 초미세먼지 중기 예측 모델 개발 (Development of a Deep Learning-based Midterm PM2.5 Prediction Model Adapting to Trend Changes)

  • 민동준;김혜림;이상근
    • 정보처리학회 논문지
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    • 제13권6호
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    • pp.251-259
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    • 2024
  • 초미세먼지, 특히 지름이 2.5㎛ 이하인 PM2.5는 인체 건강과 경제에 큰 피해를 주는 오염물질이다. 본 연구는 대한민국 서울 지역을 중심으로, 2017년부터 2022년까지 자료를 수집하여 PM2.5 데이터 분석 및 데이터 경향성 변화 추이를 분석하고, PM2.5 중기 예측 모델을 개발하는 것을 목표로 한다. 수집, 생산된 대기질 및 기상 데이터, 재분석 데이터, 수치모델 예측 데이터를 바탕으로, 모델을 학습하고 이를 통합한 경향성 변화에도 대응할 수 있는 앙상블 기법을 제안한다. 본 연구에서 제안하는 앙상블 기법은 PM2.5 농도 예측 성능 면에서 기존 모델 대비 미래 D+3~D+6 예측일 F1 Score 기준 평균 2019년 약 42.16%, 2021년 약 58.92%, 2022년 약 34.79% 높은 성능을 보였다. 제안한 모델은 변화하는 환경 조건에도 성능을 유지함으로써 안정적인 예측을 가능하게 하며, 기존 딥러닝 기반 PM2.5 단기 예측보다 먼 예측을 수행하는 중기 예측 모델을 제시한다.

수경재배에 의한 중금속 (As 및 Cd) 오염토양의 식물상 복원공법 적용 식물종 선별 (Selection of Plant Species for Phytoremediation of Heavy Metal (As and Cd) Contaminated Soil using Hydroponic Culture)

  • 김범준;배범한;김영훈
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제29권1호
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    • pp.28-38
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    • 2024
  • Phytoremediation presents a low-carbon and eco-friendly solution for heavy metal-contaminated soils, which pose great health and environmental risks to humans and ecosystems. A hydroponic culture was used to quantitatively assess the phytoremediation potential of plant species to remediate As or Cd-contaminated soil in field application. This study examined the growth, uptake, and distribution of Cd in the roots and shoots of Phalaris arundinacea and Brassica juncea in hydroponic conditions with Cd concentrations ranging from 0 to 20 mg/L for 10 days. Additionally, Aster koraiensis and Pteris multifida were cultivated in hydroponic conditions containing As concentrations ranging from 0 to 40 mg/L for 10 days. The concentrations of Cd in the above-ground part and root tissues of P. arundinacea and B. juncea reached a maximum of 147.7 and 1926.7 mg/kg-D.W.(Dry Weight), and 351.6 and 11305.5 mg/kg-D.W., respectively. Bioconcentration factor (BCF) for P. arundinacea and B. juncea were 68.9 and 122.3, respectively. Both species exhibited a translocation factor (TF) of less than 0.1, indicating their eligibility for phytostabilization. Aster koraiensis exhibited significant As accumulation of 155.1 and 1306.7 mg/kg D.W. in the above-ground part and root, respectively. However, this accumulation resulted with substantial weight loss and the manifestation of toxic symptoms. P. multifida exhibited higher accumulation of As (345.1 mg/kg-D.W.) in the fronds than in the roots (255.4 mg/kg-D.W.), corresponding to BCF values of 18.6 and 7.6, respectively, and a TF greater than 1.2. A TF value greater than 1.0 indicates that P. multifida is a viable option for phytoextraction.

플랜트 시설물의 확률론적 폭발 위험도에 따른 설계폭발하중 모델 개발 (Development of Design Blast Load Model according to Probabilistic Explosion Risk in Industrial Facilities)

  • 이승훈;최보영;김한수
    • 한국전산구조공학회논문집
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    • 제37권1호
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    • pp.1-8
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    • 2024
  • 본 논문에서는 확률론적 처리기법을 적용하여 플랜트 시설물의 폭발 재현주기에 따른 폭발 위험도를 분석하였다. HSE에서 제공하는 누출 데이터, DNV에서 제시한 플랜트당 연간 누출 빈도, 다양한 연구진이 제시한 점화 확률을 고려하여 누출량에 따른 폭발 재현주기를 산정하였다. 산정된 폭발 재현주기를 통해 폭발 위험도를 증기운의 부피 및 반경, 폭발하중에 대하여 평가하였다. 재현주기에 따른 증기운의 반경과 과거 실제 증기운 폭발 사례, 내폭설계 가이드라인을 비교 분석하여 설계폭발하중 모델을 위한 기준거리를 제시하였다. 멀티에너지법을 통하여 폭발 재현주기에 따른 폭발하중의 범위를 분석하였으며, 설계폭발하중 모델의 기준이 되는 재현주기를 제안하였다. 본 연구의 결과로 플랜트 시설물에 대한 성능기반 내폭설계의 간략한 표준안으로 활용이 가능하다.

외래 급성 비부비동염 환자의 잠재적으로 부적절한 항생제 사용 (Potentially Inappropriate Prescriptions of Antibiotics in Patients with Acute Rhinosinusitis in Ambulatory Settings in South Korea)

  • 정다이;제남경
    • 한국임상약학회지
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    • 제33권4호
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    • pp.261-269
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    • 2023
  • Background: Acute rhinosinusitis (ARS) is a common condition encountered in ambulatory practice and is one of the most common reasons for antibiotic prescriptions. This study aimed to evaluate the potentially inappropriate antibiotic prescribing for ARS in South Korea and identify influencing factors. Methods: We analyzed Health Insurance Review and Assessment Service-National Patient Samples data. We selected outpatients aged 20 to 64 with ARS, prescribed antibiotics between February and November 2020. Potentially inappropriate antibiotic prescribing was categorized as: 1) inappropriate antibiotic selection and 2) inappropriate antibiotic dosage or duration. Multiple logistic regression was conducted to estimate the impact of various factors on inappropriate antibiotic prescribing. Results: Of 1,210 patients, 80.83% received potentially inappropriate ARS antibiotic prescriptions. Inappropriate antibiotic selection accounted for 43.55%, and inappropriate antibiotic dosage and duration contributed to 37.28%. Otolaryngologists had higher odds ratio (OR) of potentially inappropriate antibiotic prescribing compared to internal medicine practitioners, while dentists had lower OR. Patients aged 20 to 29 years had a higher OR than other age groups, and those who visited primary care clinics had a higher OR than those who visited hospitals. Conclusion: Potentially inappropriate antibiotic prescribing for ARS is prevalent in South Korea. This study identified physician specialty, patient age group, and the level of healthcare facility as factors influencing potentially inappropriate antibiotic prescriptions. Addressing this issue through targeted interventions, such as improved guidelines adherence and patient education, is imperative to mitigate the risks associated with antibiotic misuse and antibiotic resistance.